Whalio Doctors

NPI 1073626040

Michael J Kellogg DDS PC

Organisation General Practice Dentistry Longmont, CO

Practice location

Address
1616 Mountain View Ave, Longmont, CO 80501-3210
Phone
(303) 772-3313

Authorised official

Name
Michael J Kellogg
Title
President
Phone
(303) 772-3313

Registered specialties

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 230 (CO)

Registry record

NPI
1073626040
Entity type
Organization
NPI issued
16 Aug 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.